Blood Volumes in Gastroduodenal Hæmorrhage

Tibbs, DavidJ.

doi:10.1016/s0140-6736(56)92078-5

Cited by 16 publications

(10 citation statements)

References 10 publications

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“…To this end Tibbs (1956), using the Evans-blue technique, and Tudhope (1958), with radiochromium-(5lCr)-labelled erythrocytes, measured blood volumes and correlated the assessed blood loss with the clinical state of the patient.…”

Section: Discussionmentioning

confidence: 99%

“…The plasma radioactivity was measured in a scintillation counter and the venous haematocrit was assessed. The blood-volume was calculated by means of the dilution principle, corrections being made for trapped plasma and differences between whole-body and venous haematocrit (Tibbs, 1956). The normal blood-volume for each patient was predicted from measurements of height and weight (Nadler et al, 1962).…”

Section: Discussionmentioning

confidence: 99%

“…One patient who had haemophilia had a gastric ulcer and acute gastric erosions, which were seen at operation. (Tables VIII and IX) In Table VIII The figures given represent the sum of the initial observed deficiency of circulating blood-volume (predicted minus observed blood-volume) and the fluid which had already entered the vascular bed by haemodilution (Tibbs, 1956 Two of these seven patients showed no significant loss of blood, and their tests for faecal occult blood were repeatedly negative. Pallor of the skin (" poor colour ") was associated with blood loss of more than 1 litre, while symptoms of weakness, dizziness, and actual loss of consciousness gave no indication of the volume of blood lost.…”

Section: History and Clinical Examinationmentioning

confidence: 99%

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Diagnosis of upper gastro-intestinal bleeding.

Mailer¹,

Goldberg²,

Harden³

et al. 1965

BMJ

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: History and Clinical Examinationmentioning

confidence: 99%

See 1 more Smart Citation

Diagnosis of upper gastro-intestinal bleeding.

Mailer¹,

Goldberg²,

Harden³

et al. 1965

BMJ

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“…Two patients with blood diseases also had ulcers but probably bled because of the blood diseases. (Gunz, Gebbie, and Dick, 1954;Tibbs, 1956). Clinical judgment, haemoglobin estimation, and packed cell volumes have been used as the index for transfusion.…”

Section: The Ulcer Group Asmentioning

confidence: 99%

“…For most patients orthodox medical treatment is employed with early feeding, rehydration, and blood transfusion as indicated. Facilities were not available for blood volume studies (Gunz, Gebbie, and Dick, 1954;Tibbs, 1956). Clinical judgment, haemoglobin estimation, and packed cell volumes have been used as the index for transfusion.…”

Section: All Operations In Bleeding Ulcer Series Operation Before Dismentioning

confidence: 99%

Surgery in Bleeding Peptic Ulcers

Ward‐McQuaid¹,

Pease²,

Smith³

et al. 1960

Gut

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This paper records a study of 400 patients admitted for haematemesis and melaena. Emergency surgery was undertaken on selected patients but the overall mortality increased when more frequent emergency operations were performed in the latter half of the series.The proper management of haematemesis and melaena is a constantly recurring problem. Our material consists of 473 patients admitted for haematemesis and melaena between January, 1953, and July, 1958. Four hundred of these (87%) were for proved or suspected peptic ulceration, and the main object of this paper is to discuss the place of surgery in this group. The overall mortality of the ulcer group was 6.25 %. Ninety-eight (24.5 %) were submitted to emergency surgery. The remaining 73 patients (13 %) bled from causes other than ulcer. The Mansfield hospitals serve a population of some 200,000 in a well-defined area. All patients admitted to hospitals and nursing homes for definite haematemesis and melaena are included and classified according to Avery Jones (1956). ANALYSIS OF RESULTSIn the analysis of results, the ulcer group as a whole is considered first, then all patients in the ulcer series operated on in the acute phase or later. Next comes a summary of other operations done for peptic ulcer over the same period. A more detailed account of the emergency operations (that is within 24 hours of bleeding) in the ulcer group and their results follows. The first 200 and the second 200 of the whole peptic ulcer group are then compared. Finally, there is a short section on the causes of bleeding other than an ulcer, and the emergency operations that were done in this group. (58 %) were diagnosed by radiology or at operation. Duodenal ulcers outnumber gastric ulcers by 159 to 70. The acute lesion group (32 %) refers to those patients in whom radiology failed to show an ulcer three weeks or so after admission. The unclassified group (6 %) refers to incompletely investigated patients with strong presumptive evidence of peptic ulceration. The post-operative group (4 %) followed gastro-enterostomy or partial gastrectomy. The whole series mortality is slightly higher for gastric ulcers (10%) than for duodenal ulcers (8.8 %), although the operative mortality was rather higher for duodenal ulcers. The acute lesion group had a mortality of 4.2%. No necropsy was done on the patient who died in the unclassified group. THE ULCER GROUP AS

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The Clinical Course of 250 Gastric Ulcer Patients

DeLaurentis¹

1961

Arch Surg

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Blood Volumes in Gastroduodenal Hæmorrhage

Cited by 16 publications

References 10 publications

Diagnosis of upper gastro-intestinal bleeding.

Diagnosis of upper gastro-intestinal bleeding.

Surgery in Bleeding Peptic Ulcers

The Clinical Course of 250 Gastric Ulcer Patients

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